| NPI | 1023097185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAYTON D SANKEY Clinical Social Worker 651-770-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 00097) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2018-04-20 |