| NPI | 1760371611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER LYNN SVOBODA Owner/Authorized Official 651-300-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-02 |