| NPI | 1407490444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ANN WOODS CEO 507-450-7104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2021-09-15 |