| NPI | 1831739788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL D BISSONETTE Vice President 507-214-2016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2023-09-13 |