NPI | 1861026262 |
---|---|
Entity Type | Organization |
Authorized Contact | ELISABETH ANN GLIDDON Therapist/Owner 612-990-2383 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-02-25 |
Last Update Date | 2020-02-25 |