| NPI | 1053159277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN MADDEN KINZER Therapist/Owner 320-204-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-20 |
| Last Update Date | 2024-07-20 |