| NPI | 1699898387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BARAGA Executive Director 320-202-2033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN 809140-1-RMI) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2008-07-21 |