| NPI | 1245615392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN MARSH Psychotherapist 612-702-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1091) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |