| NPI | 1831723808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY HIEB CLAUSEN Owner 320-363-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |