| NPI | 1023377488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY OLSON Owner, Director, Psychotherapist 651-724-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2013-04-08 |