| NPI | 1518081991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULLIE J SVENDAHL Business Manager 612-436-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |