NPI | 1578150652 |
---|---|
Entity Type | Organization |
Authorized Contact | EMMANUEL DIMEJI TANIMOJO Clinical Director/Owner 651-214-4032 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2020-12-23 |
Last Update Date | 2020-12-23 |