| NPI | 1942502570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY M PETERMANN Owner/Clinical Therapist 763-432-4072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN 14968) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |