| NPI | 1457861544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN CLAIRE BOY Owner And Sole Proprietor 952-406-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN 16880) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |