| NPI | 1780216812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIRTHINI KEEFE Director Of Client Services 763-639-6833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |