| NPI | 1831992999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GILBEUNA Program Director 218-671-0959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251X00000X Supports Brokerage | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-04-01 |