| NPI | 1225247372 |
|---|---|
| Doing Business As | BEHAVIORAL MEDICAL INTERVENTIONS |
| Entity Type | Organization |
| Authorized Contact | MARK RADERSTORF President 952-927-0184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |