| NPI | 1528850997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE ANN FRANDSEN Owner 385-404-1378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-11-17 |