| NPI | 1467750620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN WHEELER Director 507-451-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 16581) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |