| NPI | 1629952882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE COLEMAN CEO/Therapist 763-331-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |