| NPI | 1568890127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI ANN NYBECK-GARCIA President/CEO 507-454-2839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 10282204CDT) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |