| NPI | 1710224969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIA TONY XIONG Executive Director 651-260-8707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 8725) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |