| NPI | 1063296184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MICHELE BYRD Professional Clinical Counselor 612-429-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |