NPI | 1578324455 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER MARIE PETERSEN Mental Health Professional 218-407-4247 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-01-18 |
Last Update Date | 2024-01-29 |