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