| NPI | 1184357097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BLAIR DAVID Financial Director 612-348-2247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 103TC0700X Psychologist Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-07 |