| NPI | 1619197167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HOBDAY Clinical Social Worker 651-452-1258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 03939) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2010-02-04 |