| NPI | 1740646041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA L. STEVENSON-ALLEN Owner/Therapist 763-888-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 486) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |