| NPI | 1083085989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA DAWN KAASA Therapist, Managing Partner 612-578-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 22716) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 16268) |
| 1041C0700X Social Worker, Clinical (Licence: MN 20307) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 17710) | |
| Enumeration Date | 2015-10-18 |
| Last Update Date | 2016-02-18 |