| NPI | 1144575994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE LEE Partner 763-427-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: MN 362576) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2018-11-21 |