NPI | 1659806495 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE DAHL MONROE Owner/Therapist 218-329-6294 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1264) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: ND 2009-027) |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2017-05-01 |
Last Update Date | 2023-12-26 |