| NPI | 1568233633 |
|---|---|
| Other Name | CHRISTINE OLSON |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LYNN OLSON Practioner 269-303-8813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |