| NPI | 1700313756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH RENE TCHOUICHOUI TONOU Program Director 952-451-4280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 1086828-1-HCBS) |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2022-07-21 |