| NPI | 1467598730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH K THOMAS Chief Executive Office 952-405-2583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2014-12-10 |