| NPI | 1508664269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN GUDORF Owner/Licensed Social Worker 612-555-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-09-24 |