| NPI | 1497053458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY SUESS President 612-823-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 2430) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |