| NPI | 1184871188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG A RENS Managing Director 763-515-4563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2023-03-08 |