| NPI | 1750184255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBY JOHNSON SCHNEDLER Owner 612-552-1143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |