| NPI | 1881014363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA MEZA Mental Health Programs Coordinator 612-746-3530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 2837) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |