| NPI | 1487786539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE BATKIEWICZ Administrator 612-710-3671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN lp4403) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |