| NPI | 1740417757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL STEWART CEO/Licensed Psychologist 651-645-0645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP2279) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2009-06-17 |