| NPI | 1760489751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SULLIVAN Executive Director 763-427-7964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 8) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-08-22 |