NPI | 1568733061 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIE KLEMZ WOLFSON Owner 612-382-8651 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MN 1473) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 1473) |
Enumeration Date | 2012-01-16 |
Last Update Date | 2017-05-30 |