NPI | 1689120123 |
---|---|
Doing Business As | SHOSHANA CENTER |
Entity Type | Organization |
Authorized Contact | DEBORAH ELLEN RICH Owner/Director 651-645-5504 |
Organization Subpart ? | No |
Primary Taxonomy | 103TH0004X Psychologist, Health (Licence: MN LP1281) |
Enumeration Date | 2016-08-25 |
Last Update Date | 2016-08-25 |