NPI | 1043038094 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE NICOLE KRYPEL Clinical Social Worker 612-206-2601 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-09-30 |
Last Update Date | 2024-09-30 |