| NPI | 1588715304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SMITH VP Finance & Administration 651-255-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 800791-1-MHC) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2009-04-22 |