| NPI | 1518678648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLYSSA M THORSON Psychotherapist /Owner 952-836-6789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |