| NPI | 1689861494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN E LEACH Marriage And Family Therapist 612-708-6491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 1560) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2011-12-28 |