| NPI | 1659641249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY PATRICIA ABBOTT Owner 651-238-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 15440) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |