NPI | 1356912034 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKE HALLIDAY Owner 320-335-9781 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-07-05 |
Last Update Date | 2021-07-05 |