| NPI | 1649935529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK KELLY HARRINGTON Executive Director 612-834-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2024-01-29 |