| NPI | 1104651355 |
|---|---|
| Doing Business As | MINNESOTA STATE UNIVERSITY |
| Entity Type | Organization |
| Authorized Contact | ADDIE EVANS Clinic Manager 507-389-1082 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-06 |