| NPI | 1548337355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORRIS GOODWIN Vice President Administration 651-280-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2012-10-03 |