| NPI | 1558869644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA WRIGHT Executive Director 651-330-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |