| NPI | 1043968472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI MARIE RENGO Owner/Psychiatric Mental Health Np 218-310-2349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-31 |