| NPI | 1013139419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KAY VOSS Owner/CEO 763-560-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2023-11-01 |