| NPI | 1770975633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA CADENA DE HINDERER Director 651-263-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 11661) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |