| NPI | 1184678880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE BECKER VP Compliance 218-249-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-12-30 |