NPI | 1710985114 |
---|---|
Entity Type | Organization |
Authorized Contact | JODY L FRIESEN GRANDE CEO 763-546-6624 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 10662) |
Enumeration Date | 2005-07-09 |
Last Update Date | 2013-10-24 |