| NPI | 1407552565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACEY LEE CHRISTIAN Owner, Psychotherapist 507-404-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |