| NPI | 1881950285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERYIMAR HAIDIBIT PEROZO-TREJO Case Manager 612-454-2260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MN 303178) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |