| NPI | 1780009852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYN TAYLOR Licensed Professional Counselor 612-567-0278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 01373) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2014-02-26 |