| NPI | 1790909703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE CONDON VP Of Administrative Services 651-659-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2025-03-07 |