| NPI | 1710245147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MARIE SCHMIDT Psychologist 612-412-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP2947) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |