| NPI | 1972977072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH VOGT Owner/Clinical Therapist 320-259-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 1405) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |