| NPI | 1861867376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH W MATTHEWS Professional Member 763-489-8430 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 24589) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-17 |