| NPI | 1265217277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER OCHOCKI Ma, Lpcc 651-401-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-05-21 |