| NPI | 1720979909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JOY BORKENHAGEN Mental Health Counselor 507-200-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-09-05 |