| NPI | 1225397326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY PAVLIK Owner, Mental Health Therapist 651-246-8895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 301842) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MN 2221) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |