| NPI | 1699859199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE A MCDONALD Owner 218-326-3390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 7789) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-06-23 |