NPI | 1740637818 |
---|---|
Doing Business As | ELEOS PSYCHOLOGY CENTER |
Entity Type | Organization |
Authorized Contact | ELIZABETH WAGNER Chief Executive Officer 952-444-9744 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN 5833) |
Enumeration Date | 2016-05-19 |
Last Update Date | 2016-07-01 |