| NPI | 1659936045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE ZRENCHIK CEO 651-271-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 101Y00000X Counselor | |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2020-01-14 |