| NPI | 1194098053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJIT RAM VARMA Owner 952-687-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 48076) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2024-05-07 |