| NPI | 1669918512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LONGFELLOW HANNA Founder/Executive Director 320-420-1272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |