| 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 |