| NPI | 1982882247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE MARIE DICKSON Psychiatric Nurse Practitioner 218-751-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN R077777-3) |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2008-02-08 |