| NPI | 1437582566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL COLLETTE FOLLINGSTAD Licensed Psychologist, Owner 218-731-2320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MN LP4052) |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2013-08-13 |