| NPI | 1841776960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DALY Licensed Therapist 612-524-8243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |