| NPI | 1063633816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHUA YANG Executive Director 651-344-4931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 15589) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |