| NPI | 1871145862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANCE DARAMOLA CEO 651-239-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QC1500X Clinic/Center, Community Health | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |