| NPI | 1346782265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MCGINNIS Business Office Manager 507-893-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 811014-2-CDT) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |