NPI | 1225326036 |
---|---|
Doing Business As | CASPERSEN THERAPY CENTER |
Entity Type | Organization |
Authorized Contact | JOHN R. STILLMAN Owner 612-558-2705 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 12770) |
Enumeration Date | 2011-07-13 |
Last Update Date | 2021-07-13 |