| NPI | 1245091511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN MARIE SCHNEIDER MORRISON Owner 612-867-8407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |