| NPI | 1770180606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM FAIRBANKS CEO 763-464-4137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |