| NPI | 1083111389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABA GHAZIMOGHADAM Psychologist/Owner 612-308-3623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN LP5561) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |