| NPI | 1669777835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES S GUERRERO Owner 952-842-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 19891) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |