NPI | 1407617814 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN DRAKE RICE Somatic Psychotherapist 612-735-0061 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-01-22 |
Last Update Date | 2024-03-07 |