| NPI | 1891455317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ALEXANDER HOFFMAN Executive Director 763-252-6570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2021-12-27 |