| NPI | 1831857127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTA K CROOKS Owner 612-715-4808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2021-12-03 |