| NPI | 1588309181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA WETTERLUND Owner 612-747-7138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2024-01-15 |