| NPI | 1235392812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HJERMSTAD Chemical Dependency Counselor 218-935-2568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MN 801466-1-CDT) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |