| NPI | 1578287124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA LOUISE SORENSON Psychotherapist 507-327-1132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |