| NPI | 1235554387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SPRING Member 612-888-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 27561) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2021-05-09 |