| NPI | 1245606243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH DOLL Psychotherapist 612-308-3575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 247) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |