| NPI | 1629573449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI LEE HELSETH President/Owner 763-234-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MN 00271) |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2018-03-25 |