| NPI | 1578642757 |
|---|---|
| Other Name | MENTAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | TOM PAUL President 651-256-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2015-05-21 |