| NPI | 1588489421 |
|---|---|
| Other Name | NA |
| Entity Type | Organization |
| Authorized Contact | MELANIE ALBERTHA JAPPAH CEO 763-299-4135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-11-16 |
| Last Update Date | 2024-11-16 |