| NPI | 1033357355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GELMER VAN NOORD Psychologist 612-275-7564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP4888) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |