| NPI | 1417461468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN VOJTECH Owner 763-568-7622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |