| NPI | 1306134747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LEEANN FRANTUM-MATHES Clinical Director 507-386-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2023-06-12 |