| NPI | 1386357929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PATRICK MILLEA Co Owner, Director Of Operations 651-300-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2025-11-19 |