| NPI | 1275723777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LAMONT JANKORD CEO 952-224-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1044) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 301574) |
| 101YP2500X Counselor, Professional (Licence: MN 00054) | |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: MN 27774) | |
| 106H00000X Marriage & Family Therapist (Licence: MN 1023) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2020-08-03 |