| NPI | 1093535932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB A HESLI COO 612-710-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-10-15 |
| Last Update Date | 2024-10-15 |