| NPI | 1639328065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC LESTER FELSCH President 320-217-6012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP4514) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2015-09-09 |