| NPI | 1225423320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN-MARIE KIEFER Executive Director 507-218-8382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN CC00491) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN CC00492) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |