| NPI | 1033581970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS A PHILANDER Owner 612-314-8072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 020096J) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-12-01 |