| NPI | 1417771551 |
|---|---|
| Former Legal Business Name | THE WISH CENTER |
| Entity Type | Organization |
| Authorized Contact | EDMOND REMIE GRAY President 763-447-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-12-02 |