| NPI | 1669614483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HARLAN GILBERTSON President 612-581-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN lp1768) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |