| 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 |