| NPI | 1053771428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA M WITTCOFF President 651-503-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |