| NPI | 1649391053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN HATFIELD Executive Director 218-728-4491 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MN 8534482) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-10-29 |