| 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 |