| 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 |