| NPI | 1902680374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKUS KLINGENSCHMITT Mental Health Therapist 651-373-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-24 |