| NPI | 1659190114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MONTGOMERY Owner 612-296-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |