| NPI | 1558731315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JO HAPGOOD Director 763-438-5558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1974) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |