| NPI | 1710712286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA ABROTSKY Director Of Operations 612-880-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-04 |
| Last Update Date | 2026-09-20 |