| NPI | 1841182284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE TESKE President 763-284-6369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-21 |