| NPI | 1609869726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE DUBIE CEO 320-214-9692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 810871-2-MHC) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2020-08-31 |