| Organization Name: | RIVER VALLEY BEHAVIOR HEALTH & WELLNESS CENTER |
| NPI Number: | 1427421957 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER M BERTSCH (OWNER/LICENSED PSYCHOLOGIST) |
| Mailing Address: | 8640 Eagle Creek Cir Savage |
| State: | MN US |
| Postal Code: | 553784400 |
| Phone Number: | 9527467664 |
| Fax Number: | 9522244867 |
| NPI Enumeration Date: | 11/05/2015 |
| NPI Last Update Date: | 11/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | CC1053 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |