| NPI | 1366114613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI TORGERSON-COCKRAM Owner AO 507-990-2907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-11-09 |