| NPI | 1093261521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY USSET Owner/CEO 612-643-0046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2852) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2016-08-25 |