| NPI | 1831220748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI JEAN BORSCHKE Owner Program Director 651-641-1555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TR0400X Psychologist, Rehabilitation (Licence: MN LP1132) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2007-08-24 |