| NPI | 1548539786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSELLA COLLINS-PUOCH President 612-669-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 18674) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |