| NPI | 1912176777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HUBBARD BRADY Owner 651-523-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 09797) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |