| NPI | 1720644321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEBREMARIAM ALEM GEBREMICAEL Psychotherapist/Owner 651-500-1354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |