| NPI | 1912595190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA HOFFMAN Licensed Clinical Psychologist 612-986-6619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2021-01-04 |