| NPI | 1689111601 |
|---|---|
| Doing Business As | FIVE RIVERS MENTAL HEALTH CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | SARAH K SIFERS President 507-345-7012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: MN LP5185) |
| Enumeration Date | 2017-01-28 |
| Last Update Date | 2020-08-19 |