| NPI | 1366941700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MORALES Founder 612-442-6759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MN 22769) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN 22769) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2018-02-11 |