NPI | 1932398971 |
---|---|
Entity Type | Organization |
Authorized Contact | LYLE G ELENKIWICH Mental Health Provider 763-242-9240 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: MN 11797) |
Enumeration Date | 2007-10-16 |
Last Update Date | 2007-10-16 |