| NPI | 1184033664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE WHEELER Psychotherapist 507-316-4815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MN 00487) |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2015-02-22 |