NPI | 1124176326 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS STEPHEN GREENSPON President 952-929-1499 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2007-01-07 |
Last Update Date | 2025-09-11 |