| NPI | 1548080229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHERY R EICHLER Therapist 612-424-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |