| NPI | 1255473641 | 
|---|---|
| Former Legal Business Name | GUADALUPE ALTERNATIVE PROGRAMS | 
| Entity Type | Organization | 
| Authorized Contact | JODY NELSON Executive Director 651-222-0757 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 106H00000X Marriage & Family Therapist | 
| Enumeration Date | 2007-02-13 | 
| Last Update Date | 2020-05-26 |