| NPI | 1760888507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANN BERNHOFT Psychotherapist 612-827-3234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 14289) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |