| NPI | 1043091010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BELSETH Director 612-730-2237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2025-10-14 |