| NPI | 1417548587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER O KOLSTAD Owner 507-246-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2023-11-21 |