| NPI | 1366128530 |
|---|---|
| Doing Business As | SACRED SPACES THERAPY |
| Entity Type | Organization |
| Authorized Contact | MARITA KATHLEEN GLASGOW Owner 651-888-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-23 |
| Last Update Date | 2024-08-26 |