NPI | 1194485326 |
---|---|
Entity Type | Organization |
Authorized Contact | DEANNA FAYE WILLIAMS Owner 320-496-3835 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-12-29 |
Last Update Date | 2021-12-29 |