| NPI | 1124370986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT RICHTER Chief Executive Manager 612-384-7263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN LPC 00992) |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |