| NPI | 1558123125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIER B NKWONKAM CEO 612-567-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |