| NPI | 1184512907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALIMO H ROBLE Manager 507-319-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |