NPI | 1881753564 |
---|---|
Doing Business As | LAKES CONSULTATION GROUP |
Entity Type | Organization |
Authorized Contact | ANI C RAM Office Manager 952-378-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: 2084p0800x) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN 103tc0700x) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2015-01-23 |