| NPI | 1730672106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY SCHULZ Psychotherapist 612-462-4775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2019-03-09 |