| NPI | 1861831240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER FRANTUM-MATHES Clinical Director 507-386-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |