| NPI | 1750221099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN JOHN FRAUNDORF Professional Clinical Counselor 612-293-6625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-03-30 |
| Last Update Date | 2026-03-30 |