| NPI | 1659796050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN P SAWYER President 612-590-3190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 305) |
| Enumeration Date | 2014-02-22 |
| Last Update Date | 2018-03-17 |