| NPI | 1992575963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY MANAEN Owner, Psychotherapist 612-217-0315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-02 |