| NPI | 1811383748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL ETSE AMLA President 612-272-0304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |