NPI | 1831704816 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL SCHAEFFER Owner 612-618-6268 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-09-15 |
Last Update Date | 2020-09-15 |