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 |