| NPI | 1992126429 |
|---|---|
| Doing Business As | ALLTYR CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARK L WILLENBRING President 651-348-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN 1861) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |