| NPI | 1184988966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J SOMERS Licensed Psychologist 763-201-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP1856) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2012-06-27 |