| NPI | 1891964086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK B SCHAFFER President 651-699-4751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: MN LP0311) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |