| NPI | 1689085466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN TIMOTHY HEARN Family Medicine/ Psychoanalyst 651-246-8126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN 35931) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2024-08-21 |