| NPI | 1114899499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE MARIE HARRIS Owner 763-328-7549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |