| NPI | 1992152862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA MARIE GOESS Owner/Mental Health Therapist 612-239-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 14534) |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2025-09-09 |