| NPI | 1205597754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL SARTO Therapist 612-240-1843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2024-03-01 |