| NPI | 1164229167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH S BANOVETZ Mental Health Therapist And Owner 651-208-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |