| NPI | 1639932940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JO SCHILTZ Sole Member/Owner 507-475-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-03-11 |