| NPI | 1811217748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY SCHMIDT Owner 952-583-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2023-08-06 |