| NPI | 1275667511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN M BIRBILIS President 651-739-6167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |