| NPI | 1144637810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GEORGE-HUMPHREY President 218-760-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |