| NPI | 1508376807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA BEUTEL Owner 612-723-7230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 01106) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |