| NPI | 1619738002 |
|---|---|
| Other Name | HEALING SPACE LLC |
| Entity Type | Organization |
| Authorized Contact | EMILY BETH LEWANDOWSKI Owner 612-387-6848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-26 |