| NPI | 1437337656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLEEN HOWELL Assoc Dir Of Acctg & Bus Svcs 651-365-3612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 000062100) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2018-06-05 |