NPI | 1134528557 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNE LYNN FISCHER Licsw, Owner 612-760-7818 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 13825) |
Enumeration Date | 2014-08-21 |
Last Update Date | 2014-08-21 |