| NPI | 1609528181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA WASHINGTON Executive Director 320-492-2645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-07-16 |