| NPI | 1124133475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN WALKER-STEDHAM President 320-259-5381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 830523-1-cdt) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |