| NPI | 1851630222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD E. HORTON President/Owner 651-646-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 00720) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |