| NPI | 1801961263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LYNN LEE Chief Operating Off 507-535-5715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 802789-1-MHC) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2015-03-24 |