| NPI | 1740957380 |
|---|---|
| Doing Business As | TERRA SORG MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | TERRA SORG Owner 612-205-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-03-03 |