| NPI | 1417322025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA MCAFEE-LEVAN Owner 612-254-0195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2024-02-28 |