| NPI | 1578700878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARGARET BORER CEO/President 651-353-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 16437) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |