| NPI | 1407162183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A ANDERSON Tresurer 612-600-0853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103G00000X Clinical Neuropsychologist | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2022-05-19 |