| NPI | 1063464824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANN GEORGE-HUMPHREY Mental Health Professional 218-760-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 14486) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2011-05-11 |