| NPI | 1639604606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DEL ROSARIO GRAU Sole Member 612-225-0176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 34597) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2018-03-08 |