| NPI | 1144896465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH PILLSBURY President 612-564-9772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2023-10-20 |