| NPI | 1962831107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARA CEASER Social Worker 651-260-5419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: MN 7784) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |