| NPI | 1710157334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM WALTER DUFFY President,Executive Director 651-261-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |