| NPI | 1063943702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE BRIEST Owner/Mental Health Professional 320-321-1373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 21041) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |