| NPI | 1356056782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER T GEBHARD Founder/CEO 218-280-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2024-05-03 |