| 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 |