| NPI | 1366877243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALIMA NAQVI Organizer 612-386-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 50545) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MN 50545) | |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2014-01-06 |