| NPI | 1396054136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSPEH J REID Director 612-824-3369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 981) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |