| NPI | 1700110079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNEY MEYERS Clinical Social Worker 507-536-7662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 16441) |
| Enumeration Date | 2009-09-19 |
| Last Update Date | 2009-09-19 |