| NPI | 1447026331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI ANN HOGLUND KOUNKEL Owner 651-334-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2024-02-13 |