| NPI | 1538820899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KNIGHT Managing Partner 612-405-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2024-08-22 |