| NPI | 1174389431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA LYNN DOLNEY Licensed Mental Health Therapist 612-558-6132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |