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 |