| NPI | 1427721778 |
|---|---|
| Doing Business As | ANNIE JOHNSON SIREK |
| Entity Type | Organization |
| Authorized Contact | ANN CATHERINE JOHNSON Mental Health Professional 651-325-7355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-07-30 |