NPI | 1043545189 |
---|---|
Entity Type | Organization |
Authorized Contact | RUTH M. MYERS Psychiatrist 952-898-7578 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 49576) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-03-1206) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2009-10-07 |