| NPI | 1932923331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAKARIA KARIE Co Owner 763-328-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |