NPI | 1629437793 |
---|---|
Entity Type | Organization |
Authorized Contact | INEZ BERSIE-MIZE Owner 651-249-9749 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1106) |
Enumeration Date | 2016-02-18 |
Last Update Date | 2016-02-18 |