| NPI | 1982473765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENETTE NARUM Owner 218-979-9285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-12-21 |
| Last Update Date | 2024-05-14 |