| NPI | 1841448115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN ANN MCCANN President 612-605-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 17367) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |