NPI | 1124838156 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLEN HONSA Psychologist/Owner 612-643-0411 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-01-11 |
Last Update Date | 2025-01-11 |