| NPI | 1407127582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD FRANCIS MORAN Doctor, Therapist 507-438-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 15984) |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |