| NPI | 1659762169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE L KOBIENIA Marriage And Family Therapsit 320-249-5207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MN 1193) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |