| NPI | 1992810303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA BERNADETTE MCDONALD Chief Manager, Treasurer And Secret 952-285-2917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MN 14892) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |