| NPI | 1629597570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY FRAZEL Owner 612-351-4846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 22887) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2023-02-01 |