| NPI | 1770728230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA DIVINETZ ROMERO CEO 612-872-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103TH0004X Psychologist Health |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2010-04-29 |