| NPI | 1962756122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BARRETT Owner 651-252-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 18413) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2012-11-21 |