| NPI | 1740661800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN SEPPALA Chief Medical Officer 651-213-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |