| NPI | 1982123345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN RAUSCHENDORFER Msw, Licsw/Owner 612-708-7712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 17535) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-20 |