| NPI | 1558131417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIE SUNCIRE-NERISON Owner, Psychotherapist 612-517-7615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |