| NPI | 1003615360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE KIM Owner / Mental Health Therapist 952-999-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-06-27 |