| NPI | 1659542884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA RICHTSMEIER CYR Licensed Psychologist 763-595-7294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MN 3892) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MN LP3892) |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2008-03-15 |