| NPI | 1063177251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKA DRUMMOND ROOTS President 612-250-9737 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health |
| 171400000X | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2024-08-30 |