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 |