| NPI | 1467239533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER GRACE CRUZ Director 507-288-6978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-12 |
| Last Update Date | 2024-03-05 |