| NPI | 1144999087 |
|---|---|
| Doing Business As | BOULEVARD THERAPY |
| Doing Business As | BLVD THERAPY |
| Entity Type | Organization |
| Authorized Contact | MELISSA PATTERSON Counselor 612-819-4278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-10-06 |