| NPI | 1932651759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA M SERFLING Mental Health Counselor 320-296-1528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IA 001554) |
| Additional Taxonomies | 251K00000X Public Health or Welfare (Licence: IA 13097) |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-10-27 |