| NPI | 1902256159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD TOWNSEND Director 507-398-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ 4718) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |