| NPI | 1619032562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRYAN PLUDE CEO, Licensed Psychologist 218-723-8153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 800122-1-MHC) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2015-01-26 |