| NPI | 1801082847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA J MURPHY Executive Director 763-559-1883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 8015661-DS) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |