| NPI | 1376384370 |
|---|---|
| Doing Business As | MIDWEST MINDS |
| Entity Type | Organization |
| Authorized Contact | LISA NIPPOOLDT-BACA Neuropsychologist/Owner 651-283-0639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-10-07 |