| NPI | 1104651355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCIE DAVIS-GAGE Center Director 507-389-1301 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 106H00000X Marriage & Family Therapist | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2025-03-24 |