| NPI | 1730451923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LOUIS LEGERSKI Owner 952-200-9804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MN LP4384) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |