NPI | 1659674489 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH I SHAGALOW Clinical Director/Owner 952-831-3662 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2010-12-16 |
Last Update Date | 2010-12-16 |