| NPI | 1477871077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KEVIN BELLOWS Therapist 952-898-1552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1591) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |