| NPI | 1629449939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BOROWIAK Owner 952-595-5967 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN LP1844) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN 13627) |
| 106H00000X Marriage & Family Therapist (Licence: MN LMFT2560) | |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |