| NPI | 1316751746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WARD Clinic Director 218-481-8910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-02-05 |
| Last Update Date | 2025-10-24 |