| NPI | 1356629232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUKAYODE O AWOSIKA Medical Director/Adult Psychiatrist 952-303-6832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MN 2152558) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2020-01-02 |