| NPI | 1538904958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAMPHIAN VANG Owner/Psychotherapist 651-792-5451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-06-27 |