| NPI | 1588922033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE THOMAS Owner 651-592-5197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP4488) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |