| NPI | 1114225828 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | SHELLEY SEARS BERVEN Owner 651-293-3923 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 06845) | 
| Enumeration Date | 2011-03-03 | 
| Last Update Date | 2025-06-04 |