| NPI | 1033522040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN J WEBB Mental Health Therapist 507-990-2696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 17659) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |