| NPI | 1285802066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN LEE BUEIDE Owner 952-544-2288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 00036) |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |