| NPI | 1871942953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN M VANEPS Psychiatric Nurse Practitioner 218-398-1998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN CNP2221) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2025-12-10 |