| NPI | 1770714347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HOPPE Director Of Clinical Services 612-822-7946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2024-01-02 |