| NPI | 1558628545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CRUZ Co Owner 507-288-6978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2024-04-02 |