NPI | 1013251792 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI BORSCHKE Owner 651-641-1555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN 2581) |
Enumeration Date | 2012-11-19 |
Last Update Date | 2012-11-19 |