| NPI | 1801182837 |
|---|---|
| Doing Business As | LEGACY MENTAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MARY MULLENBACH President 612-801-3316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 4360) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2018-08-23 |