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 |