| NPI | 1790909703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLEEN HOWELL Assoc Dir Of Acctg & Bus Svcs 651-365-3612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2023-03-13 |