| NPI | 1629404074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LYNN PIHL Clinical Social Worker 651-226-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 16425) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2013-12-02 |