NPI | 1528791605 |
---|---|
Entity Type | Organization |
Authorized Contact | DOROTHEE TSHIELA Owner 952-314-8364 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-07-06 |
Last Update Date | 2022-07-21 |