| NPI | 1225136419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG WARREN CEO 612-871-1454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MN 802629) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-05-24 |