| NPI | 1285825125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN DALE MCALLISTER Co Owner 612-338-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |