| NPI | 1700246816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LYNN LOVETT Clinical Psychologist 651-746-9108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP4523) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |