NPI | 1699958777 |
---|---|
Entity Type | Organization |
Authorized Contact | DARIN BALKEN Executive Director 320-231-1729 |
Organization Subpart ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: MN 1036941-1-CRF) |
Enumeration Date | 2007-12-11 |
Last Update Date | 2007-12-11 |