| NPI | 1528738341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQUEELAH H WHITFIELD Executive Director 612-952-6937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |