| NPI | 1124702634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN NOEL PARADISE Psychotherapist 612-227-4597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-07-15 |