| NPI | 1942494216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI BORSCHKE Owner/Program Director 651-641-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy (Licence: MN LP1132) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |