| NPI | 1659067643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL CYCENAS Director Of Business Development 763-516-8068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |