NPI | 1316230238 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN TIMOTHY O'REGAN President 612-810-5943 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MN LP1277) |
Enumeration Date | 2011-05-25 |
Last Update Date | 2011-05-25 |