| NPI | 1093952020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA WILSON STARKEY CEO 952-470-1186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 14188) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |