NPI | 1780014399 |
---|---|
Entity Type | Organization |
Authorized Contact | MAGN O NYANG CEO 612-636-8926 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN cc00670) |
Enumeration Date | 2013-11-18 |
Last Update Date | 2013-11-18 |