| NPI | 1659269827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JOYCE COLTER President/Sole Member 218-750-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-07-24 |