| NPI | 1609764869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE NIEDFELDT President 952-222-8193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2026-06-24 |