| NPI | 1447005202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMIR STEVAN UTRZAN Chief Compliance Officer 612-900-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |