| NPI | 1871912600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KERMATH Owner 612-554-6794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: MN 027457) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |