NPI | 1881915874 |
---|---|
Entity Type | Organization |
Authorized Contact | MARCUS K KILIAN President/ Chief Manager 715-864-2417 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP5005) |
Enumeration Date | 2010-06-14 |
Last Update Date | 2010-06-14 |