NPI | 1942824677 |
---|---|
Entity Type | Organization |
Authorized Contact | NIKHIL KAISTHA Owner, Lpcc 612-399-9996 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-05-28 |
Last Update Date | 2024-06-01 |