| NPI | 1437656840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RICHARD CULLEN Vice President 651-917-4649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 174H00000X Health Educator |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2025-04-09 |