| NPI | 1366621039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN LAYTON Psychologist 612-926-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP1811) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2007-10-30 |