| NPI | 1114575982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY J LACONIC Owner, Therapist 612-219-7620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-12-07 |