| NPI | 1881184778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY COLLEEN MORRISSETTE Owner/Licensed Psychologist 651-705-6892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN LP5891) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2018-05-16 |