| NPI | 1184552101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY IVAN KAUER Owner/Therapist 612-396-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-05-11 |
| Last Update Date | 2026-05-11 |