| NPI | 1457718744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAPRINA ANN MATHENY Owner 715-296-9429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 16047) |
| Enumeration Date | 2016-01-18 |
| Last Update Date | 2016-01-18 |