| NPI | 1215659347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HEIM Director Of Operations 651-252-6078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2024-07-09 |