| NPI | 1831413442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS COCHRANE SCHLUTTER Psychologist 952-548-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MN 35122) |
| Additional Taxonomies | 208D00000X General Practice (Licence: MN 24280) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2010-03-25 |