| NPI | 1629192430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGID PETERSON Chief Compliance Officer 651-310-9451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2017-02-24 |