| NPI | 1801036272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAUGHN ROBERT JEFFERSON President 651-483-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP 1666) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2014-11-06 |