NPI | 1588850481 |
---|---|
Entity Type | Organization |
Authorized Contact | GERALD FRANCIS RONNING President 1612-321-9757 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MN 16978) |
Enumeration Date | 2007-09-25 |
Last Update Date | 2007-09-25 |