| NPI | 1952697260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEF KEVIN HARDWICK CEO 612-388-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: MN 1170) |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2012-01-13 |