| NPI | 1144802844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY L BOTTS Director Of Operations 612-205-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2024-09-17 |