| NPI | 1154583425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYE MCPHILLIPS EYRICH Psychologist 612-203-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN LP0348) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2008-06-27 |