| NPI | 1194804518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM H. PERCY Owner Manager 612-819-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN 189) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 78) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2020-08-22 |