| NPI | 1154863918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY JOHNSON Owner/Therapist 612-444-3785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 2245) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2016-12-15 |