| NPI | 1295260412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SUAREZ Child Dev. Consultant And Lamft 612-220-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: MN 3352) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |