| NPI | 1134534076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN JON STENLUND Psychologist/Owner 218-327-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP2760) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2016-01-22 |