| NPI | 1740460476 |
|---|---|
| Doing Business As | EASTERN PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | JOSEPH Y LEE Director 612-203-1207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN LP1967) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2008-07-07 |