| NPI | 1912238684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOROWIAK Owner 952-922-8822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |