| NPI | 1669794988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE RICKS Clinical Services Manager 952-939-0396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MN 19685) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |