| NPI | 1386896744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWILA BAUER GERMANSON Owner 952-956-4057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 43294) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2022-02-07 |