| NPI | 1407044886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GREGORY PERKINS Director 507-529-1758 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 10475091CDT) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2017-01-03 |