| NPI | 1689033011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA STEELE CEO 612-702-6068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| 103K00000X Behavior Analyst | |
| 261Q00000X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2022-06-23 |