| NPI | 1114020641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CALLAHAN Owner 952-920-6748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MN 23237) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-01-29 |