NPI | 1861706863 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN LEE ECKSTROM Clinical Director 952-913-5403 |
Organization Subpart ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MN 10192) |
Enumeration Date | 2010-08-02 |
Last Update Date | 2011-10-04 |