| NPI | 1861871709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY HEAGLE WARD Owner 612-876-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2548) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |