| NPI | 1255189486 |
|---|---|
| Other Name | SUSAN BALTO LICSW |
| Entity Type | Organization |
| Authorized Contact | SUSAN BALTO Owner/Provider 651-283-0524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |