| NPI | 1982882106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN HENDERSON CEO 651-659-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X (Licence: MN 395253303) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2024-03-12 |