| NPI | 1497204713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA SCHMIDT Clinical Therapist 320-247-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1915) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |