| NPI | 1376362251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA LYNN RICKERTSEN CEO & Marriage Family Therapist 763-245-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |