| NPI | 1609043124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISSA JONES Executive Director 612-871-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 805976-2-CDT) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |