NPI | 1932309267 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE BRENNY Accredidation 320-253-1909 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 104100000X) |
Enumeration Date | 2007-07-24 |
Last Update Date | 2007-07-24 |