| NPI | 1447134721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATYA OTTERCREEK CEO 612-405-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-28 |