| NPI | 1801942040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM L. RUSH President 612-275-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MN LP 4721) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2020-11-05 |