| NPI | 1689005035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL W HURSE Founder/CEO 612-203-9809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 22145) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 22145) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2017-03-24 |