| NPI | 1295936946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA MARIE CARR President 218-591-7057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MN R110631-4) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |