| NPI | 1790826550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM ADAMICH Director Of Finance & Marketing 218-327-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2008-12-12 |