NPI | 1679027148 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA SUSAN CLARK CFO 612-373-2407 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 251B00000X Case Management |
Enumeration Date | 2016-08-12 |
Last Update Date | 2021-05-03 |