| NPI | 1457786402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARVIA HEROLD CFO/VP Finance & Administration 612-767-2162 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 12567) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2017-06-12 |