| NPI | 1740829837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD JEROME HARDRICT President/CEO 651-433-7207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2025-01-16 |