| NPI | 1699814111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS JACOBS Business Director 612-872-9446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 0122) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-08-08 |