| NPI | 1912098070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA MARIA NELSON Chief Managing Officer 651-646-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 03599) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |