| NPI | 1700508777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE TINDI Owner 612-433-2869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2024-04-29 |