| NPI | 1861915001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT EDWARD BOOTH Therapist/Clinical Social Worker 651-690-1542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2022-07-21 |