NPI | 1922875400 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLEY LINN BAGHAI Member 218-839-1033 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2023-12-05 |
Last Update Date | 2023-12-11 |