| NPI | 1003868167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C JENKINS President 507-282-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2014-09-16 |