| NPI | 1457596389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WALAKAWON GBALA Executive Director 651-771-8821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2008-12-05 |
| Last Update Date | 2008-12-05 |