| NPI | 1346058195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH TIMM BARNHART Owner Of Group 507-206-7485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2024-12-26 |