| NPI | 1306584354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENUS L BURNEY CEO / Outpatient Psychotherapist 612-386-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-20 |