| NPI | 1659616456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL RIPPEL CEO, Psychologist 952-465-3910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP 5065) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |