| NPI | 1407002587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN UJIFUSA Clinical Director 952-201-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 7187) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |