| NPI | 1053719732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL NOVOTNY Psychologist, President & CEO 612-710-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP5731) |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |