| NPI | 1659064293 |
|---|---|
| Doing Business As | OLD GROWTH HEALING |
| Entity Type | Organization |
| Authorized Contact | KATIE JACOBI Owner/Psychotherapist 952-457-3469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |