NPI | 1093249138 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE LARSON JONES Owner 612-615-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN cc00972) |
Enumeration Date | 2017-04-15 |
Last Update Date | 2017-04-15 |