| NPI | 1568585420 |
|---|---|
| Doing Business As | NORTHLAND THERAPY CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES WAGNER Therapist/Partner 651-641-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MN LP 3528) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP 2149) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2023-03-24 |