| NPI | 1245425446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK SIEVERS Executive Director 507-454-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2024-08-12 |