| NPI | 1710147038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUDY L SUTHERLAND Owner/Exective Director 952-220-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 177764) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |