NPI | 1497578439 |
---|---|
Doing Business As | WILLOW CREEK COUNSELING MN |
Entity Type | Organization |
Authorized Contact | TRACY DAVIS Owner 612-293-5823 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-11-07 |
Last Update Date | 2024-11-07 |