| NPI | 1952237489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA BERGER CEO 320-492-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-06-22 |