| NPI | 1659754240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE KAY YAEKEL-BLACK ELK Counselor/Consultant 218-590-1932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN cc00588) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: WI 3776-125) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |