NPI | 1851122469 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA HAUGEN Owner 612-210-0333 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-08-13 |
Last Update Date | 2024-08-13 |