| NPI | 1508733148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANGELA JOHNSTON Licensed Psychologist/Owner 612-385-1813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-10-20 |
| Last Update Date | 2025-10-20 |