| NPI | 1427466234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYE D DIOUF Chief Financial Officer 612-543-2545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2024-09-24 |