| NPI | 1386196673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CAROLINE DUNCAN Psychotherapist/Business Owner 651-428-2058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MN 17540) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN 17540) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |