| NPI | 1467234377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE W CLEMENTS Owner 507-779-9872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-19 |