| NPI | 1669733762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MISCHKE President 651-647-0659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP2396) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 4213) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2012-06-05 |