| NPI | 1346348216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MILLER Counselor 507-281-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |