| NPI | 1407221088 |
|---|---|
| Other Name | WILD TREE PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | LAUREN ROBBINS Owner 651-212-4920 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: MN cc00995) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |