| NPI | 1932579034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA WASHINGTON SY Owner 612-229-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MN 13626) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |