| NPI | 1588731327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA J FLANAGAN Business Manager 320-253-3540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN 1015564-1-MHC) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-04-08 |