| NPI | 1003780248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL K WILLIAMS Managing Director 763-339-8302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2025-10-01 |
| Last Update Date | 2025-10-01 |