| NPI | 1275331308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIR STEVAN UTRZAN President And CEO 612-900-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |