| NPI | 1033496674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS CHARLES DAVIS Owner 218-727-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 16370) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |