| NPI | 1932646478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOHN RONAN Owner 952-933-3460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 00371) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2017-01-23 |