| NPI | 1144543265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MERRILL YAROSH Owner 651-955-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN 32260) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |