| NPI | 1215607940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHENA MARIE DIESCH-CHHAM Clinical Social Worker 507-676-1633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-09-14 |