| NPI | 1033545439 |
|---|---|
| Doing Business As | BEHAVIORAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TRACY LEE KLING KOTVAL Director 952-440-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN LPCC) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2013-09-18 |