| NPI | 1891242558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN D BERG Therapist/Owner 218-284-9672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 2289) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-12-08 |