| NPI | 1538488721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN STEDHAM Licensed Psychologist/President 320-259-5381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MN LP5034) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |