| NPI | 1427258599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TREPP Executive Director 612-871-3320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1044976) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |