NPI | 1477361368 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSIAH ERICKSON Manager 612-227-3419 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2024-12-23 |
Last Update Date | 2024-12-23 |