| NPI | 1245058080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUA XIONG VANG Licensed Professional Clinical Coun 952-693-9512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |