| NPI | 1154774255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN REUVERS Owner 507-838-1297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 22678) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |