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