| NPI | 1932668795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN ROSE RILEY Co Owner 507-273-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-19 |