| NPI | 1821615147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN KENNETH FLICK Owner 507-216-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2025-10-04 |