NPI | 1225576127 |
---|---|
Doing Business As | MENDING ROOTS |
Entity Type | Organization |
Authorized Contact | THEODORE SURDY CEO 507-388-8874 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP3385) |
Enumeration Date | 2017-02-10 |
Last Update Date | 2025-01-22 |