| NPI | 1881468809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH HUTCHINSON Owner Therapist 612-200-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |