| NPI | 1932357829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLEE HANKS Executive Director 952-253-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN N-186) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |