| NPI | 1124992490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE M FORBES Owner/Clinical Social Worker 651-308-4038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |