| NPI | 1295250215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JOSEPH LEXAU Owner 612-385-8321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN LP4406) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2022-07-21 |