| NPI | 1992934392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KAREN HILL Owner/President 612-787-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 1600) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2018-11-15 |