| NPI | 1730076811 |
|---|---|
| Other Name | JOCELYN THOEMKE, LLC |
| Entity Type | Organization |
| Authorized Contact | JOCELYN ROSE THOEMKE Owner 651-214-0715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-20 |