| NPI | 1386863793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE WILLIAM GLADDEN Managing Director 651-653-1925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: MN 00133) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |