| NPI | 1609121318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE KLEMZ WOLFSON CEO 612-382-8651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MN 1473) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |