| NPI | 1871367730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY MARIE WALTERS Owner And CEO 612-778-3748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-12-20 |