| NPI | 1922409648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BENGTSON Owner/Therapist 320-309-0936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 2478) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302150) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2023-11-10 |