| NPI | 1275278236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA HUTCHINSON Owner 612-405-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2023-08-01 |