| NPI | 1487387296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY DOOCY Owner 507-530-5084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-12-13 |