| NPI | 1255934196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SUMMER KALLIMAN Clinical Director And Lmft 507-403-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |