NPI | 1427293851 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY DUFFEY BLACK Clinical Director 952-470-6182 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: MN 6510) |
Enumeration Date | 2008-12-15 |
Last Update Date | 2008-12-15 |