| NPI | 1760824486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KOKAL Vice President 612-454-8674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2024-11-12 |