| NPI | 1720763329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J YOUNG Psychiatrist 612-438-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-11-02 |