| 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 |