| NPI | 1285594168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINSEY MARIE FITZLOFF Mental Health Therapist 507-995-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-11-13 |
| Last Update Date | 2025-11-13 |