| NPI | 1750668380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA MICHELE STILLMAN Chief Manager 651-633-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP4872) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2017-01-06 |