| NPI | 1891453890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILINE CORVIL Executive Director 612-703-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2022-12-23 |