| NPI | 1730335142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EVERETT Executive Director 612-362-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 15119) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2010-07-28 |