| NPI | 1477962488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOHN HACHIYA Licensed Psychologist 612-226-3915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MN LP5674) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |