| 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 |