| NPI | 1508309162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD VUE CEO/President 763-951-9049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 08738) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |