| NPI | 1306389861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J REESE Partner Therapist 612-272-3016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2024-09-25 |