| NPI | 1730559584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL PAUL GROSTEPHAN Therapist/Owner 612-839-5853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 20930) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |