| NPI | 1356053284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN BRYNN LASCHEN Owner 651-307-9626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2022-12-22 |