| NPI | 1598099871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE K ROSSING Co Owner 763-286-4257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1185) |
| Enumeration Date | 2009-09-20 |
| Last Update Date | 2009-09-20 |