| NPI | 1336721364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE ROSE BANKERS Owner / Clinical Therapist 320-339-9963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |