NPI | 1861580607 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY BUSHMAN President 952-898-5020 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN LP3946) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2018-04-05 |