| NPI | 1013532514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE BACKUS HARDMAN Therapist/Owner 218-213-7476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2023-09-06 |