| NPI | 1598994378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MILLER President 651-428-8346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MN 4661) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |