| NPI | 1790433480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRIZER SMITH CEO 612-382-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2022-03-12 |
| Last Update Date | 2024-01-26 |