| NPI | 1295528396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ANDRIESCU Owner 651-295-3866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-05-22 |