| NPI | 1659445476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM ADAMICH Director Of Finance & Marketing 218-327-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1027589-1-CDT) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-09-18 |