| NPI | 1912501776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS LISE COTE-SANDS Outpatient Therapist 507-381-8748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2021-06-29 |