| NPI | 1265002299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA LLOYD CONROY Owner And Director 651-494-4496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2024-06-06 |