| NPI | 1346730058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI LEE EMBACHER Clincial Social Worker 507-380-9557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 15450) |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2018-05-17 |