| NPI | 1902436769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE REUSS Owner 952-836-5081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2025-02-28 |