| NPI | 1356831051 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KARA E PILON REIL Licensed Prof. Clinical Counselor 612-388-9602  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 00201)  | 
| Enumeration Date | 2018-05-17 | 
| Last Update Date | 2018-05-17 |