| NPI | 1689464653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE TYLER VANMILLIGEN President 763-350-5549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2026-01-13 |