| NPI | 1265155824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH ANN MCNATTIN Owner/President 952-395-3290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |