| NPI | 1063050615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATIA WILCEK Owner / Therapist 612-467-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2024-02-02 |