| NPI | 1679806830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA GAY BACKES Owner 320-202-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN LPC00366) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |