NPI | 1659988400 |
---|---|
Entity Type | Organization |
Authorized Contact | BERGINA ISBELL Chief Medical Officer 507-533-5441 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2020-09-25 |
Last Update Date | 2024-05-20 |