| NPI | 1194041756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE MARIE BLOOD Owner 612-655-7678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 16475) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |