| NPI | 1023566957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY REBECCA BROWN MURPHREY Licensed Psychologist 612-801-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MN LP5848) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |