| NPI | 1619553187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PATRICIA RODENBERG-ROBERTS VP& Sr Asst General Counsel 952-836-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2023-11-27 |