NPI | 1780207829 |
---|---|
Doing Business As | AMAZING YOU THERAPY |
Entity Type | Organization |
Authorized Contact | CASEY MARIE LARSON Owner 507-722-1139 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2020-05-23 |
Last Update Date | 2020-08-03 |