| NPI | 1326165630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA COOK Executive Director 651-486-4828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-05-03 |