| NPI | 1902137425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RODDY Psychiatry 651-999-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 31580) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MN 31580) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |