| NPI | 1699454512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER REKOWSKI Owner/Professional Therapist 651-728-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2024-03-16 |