| NPI | 1346665981 |
|---|---|
| Doing Business As | CHANGES COUNSELING AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN POITRA President 612-845-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 16993) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1316) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |