| NPI | 1548486590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL SCHWIETERS Assistant 651-289-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 48212) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-11-15 |