| NPI | 1871952119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH M COX Owner/Clinical Psychologist 12182-331-0155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MN LP5621) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-04-01 |