| NPI | 1093859332 |
|---|---|
| Former Legal Business Name | ASSOCIATED COUNSELING SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | GAIL ROSE MAUDAL President 651-484-1544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: MN LP1096) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2011-02-01 |