| NPI | 1073071239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMPSON TEMILADE ADERINKOMI CEO 651-334-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2024-11-01 |