| NPI | 1326343088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY LEE KINDER CEO 651-647-4944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 4383) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 392) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-11 |