| NPI | 1245610856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERIDEE RILEN Psychologist, President 612-564-5865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP 5842) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2019-06-17 |