| NPI | 1417218223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DAVID LESS Licsw/Owner 651-200-8788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MN 17750) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2025-02-03 |