| NPI | 1588951719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED M DOKMAK Owner 952-303-4372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 45335) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2014-01-13 |