| NPI | 1598163503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN L ERIE CEO 218-979-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: MN 1078038) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2023-12-13 |