| NPI | 1699059303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY RILEY Chief Manager 507-254-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 33870202) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |