| NPI | 1427392810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE NORBY KONDZIOLKA President 218-252-8016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 20454) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2026-04-29 |