| NPI | 1518303601 |
|---|---|
| Other Name | HENNEPIN SUPPORTIVE |
| Entity Type | Organization |
| Authorized Contact | DEENA G. OMBRES Assoc. Gen. Counsel/Privacy Officer 502-394-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |