| NPI | 1295937381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK KENNETH HARRISON Owner 612-743-7320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 06016) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2013-03-08 |