| NPI | 1710767074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CHRISTIAN SPITZMUELLER Clinical Social Worker 612-979-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2023-10-04 |