| NPI | 1861644668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M. BENDA Clinical Social Worker 612-929-0781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 13217) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2008-11-06 |