| NPI | 1164130142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ROSENER Marriage & Family Therapist 612-707-1504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |