NPI | 1366085748 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN DOLAN Owner 507-335-2220 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2019-10-18 |
Last Update Date | 2020-03-21 |