NPI | 1477821973 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRI BUSCHER Office Mgr/Owner 218-444-5155 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1051960-1-CDT) |
Enumeration Date | 2011-12-12 |
Last Update Date | 2011-12-12 |