| NPI | 1427586296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELS ROBIN ZELLER Executive Director 651-399-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4593) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 23792) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |