| NPI | 1538457395 |
|---|---|
| Former Legal Business Name | PATH MINNESOTA INC |
| Entity Type | Organization |
| Authorized Contact | GEORGE HENDRICKSON CEO 763-271-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2011-10-20 |