| NPI | 1063964286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA EUGENIA TATZMANN Owner 612-719-7298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN LICSW 13814) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MN 13814) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |