NPI | 1205833852 |
---|---|
Doing Business As | CENTER FOR EFFECTIVE LIVING |
Entity Type | Organization |
Authorized Contact | ROGER D EICHMAN Director Owner 507-288-5675 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP0488) |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2005-06-28 |
Last Update Date | 2008-06-20 |