NPI | 1205225448 |
---|---|
Entity Type | Organization |
Authorized Contact | TROY ROBERT WEBER-BROWN Owner 320-257-6022 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2015-01-12 |
Last Update Date | 2015-01-12 |