| 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 |