| NPI | 1124990692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JEAN LONGTINE Owner/Counselor 218-849-7524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |