NPI | 1750496295 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN WALKER-STEDHAM President 320-632-3166 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 804331-2-cdt) |
Enumeration Date | 2006-08-21 |
Last Update Date | 2020-08-22 |