| NPI | 1710071576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH A. HORTON President 612-920-2779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 23983) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |