| NPI | 1114225828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY SEARS BERVEN President 651-224-3035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 06845) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |