| NPI | 1649791047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON J HILL Owner 218-750-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN CNP3970) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2021-08-25 |