| NPI | 1639250111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L SOETE Administrative Director 651-426-8191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |