| NPI | 1417089731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH RUTH COEN Physician 952-746-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 40453) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2020-08-22 |