| NPI | 1831068055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGGIE ELIZABETH JUSTEN Clinical Social Worker 952-261-3476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |