| NPI | 1306337431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SYMONS Psychotherapist 218-343-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 1017668300021) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |