NPI | 1508629783 |
---|---|
Entity Type | Organization |
Authorized Contact | KASEY JO BISHMAN Clinical Social Worker/Therapist 651-283-7656 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-01-31 |
Last Update Date | 2024-03-11 |