| NPI | 1457455057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWARDS Executive Director 763-780-3036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2018-04-25 |