| NPI | 1821165234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENA WAXMAN Executive Director 651-698-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2022-07-21 |