| NPI | 1376488544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN RIEGERT Therapist 612-208-3175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2026-04-22 |
| Last Update Date | 2026-04-22 |