| NPI | 1225401433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CJ HORDYNSKI Office Manager 612-237-9238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 3966) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |