| NPI | 1801968300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE LOUISE HALTERMAN Mental Health Professional 320-235-5411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN NCC 44742) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 00130) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2025-09-11 |