| NPI | 1821456757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL PASTERNAK SLATER President 612-405-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP 5141) |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2018-12-19 |