| 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 |