| NPI | 1336496207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA CATHERINE BOLIN Owner 507-208-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 18844) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |