NPI | 1255572095 |
---|---|
Entity Type | Organization |
Authorized Contact | ALYSSA KAYING VANG Clinical Psychologist 651-283-3794 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2009-03-06 |
Last Update Date | 2009-03-06 |