| NPI | 1801077417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN LUNDSTROM BRENNAN Owner 6123-990-6232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00015) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2009-03-19 |