| NPI | 1275421778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MAE QUAM Owner 507-951-8413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-10-31 |