| NPI | 1366056806 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERT LAURIA Nurse Practitioner /Owner 507-452-5206 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Enumeration Date | 2020-09-02 | 
| Last Update Date | 2020-09-02 |