| NPI | 1093305450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA STALLMAN President 763-229-4995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2025-05-20 |