| NPI | 1740517663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WERMAGER Staff Psychiatrist 952-454-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MN 45638) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |