| NPI | 1053596577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM G SCOTT President 651-398-6341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2018-04-02 |