| NPI | 1679694616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BARAGA Executive Director 320-252-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 807286-5-CDT) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-07-21 |