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