| NPI | 1942416268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J. BARAGA Executive Director 320-252-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 800356-1-MHC) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-07-21 |