| NPI | 1700214194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI NYBECK-GARCIA President 507-454-2839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MN 1028226) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |