| NPI | 1750046249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE COLWELL Owner/Mental Health Therapist 218-297-7679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2024-03-16 |