| NPI | 1508635368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB SCHUCHMAN FALK Owner, Chief Manager 612-940-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2024-06-17 |