| NPI | 1427337633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN MATTHEW HATFIELD Chief Executive Officer 218-461-2903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |