| NPI | 1477611853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BELICH CFO 952-546-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN C01878) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 3785) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-05-16 |