| NPI | 1306033667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD F. RAHE President 952-922-4419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP1837) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |