| NPI | 1124525142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL GRANT CHRISTENSEN-COWAN Psychotherapist 651-216-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN 21019) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2022-07-08 |