| NPI | 1851434401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS JAMES THEEDE Executive Director 507-452-1021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN Applied for) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |