| NPI | 1376765529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE GILFIX CFO 612-821-1920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 9839) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 15301) |
| 106H00000X Marriage & Family Therapist (Licence: MN 1075) | |
| 101YM0800X Counselor, Mental Health (Licence: MN 00215) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |