NPI | 1932486057 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMI J HUGHES Executive Director 651-295-7440 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: MN 5121) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-12-12557) |
Enumeration Date | 2011-11-03 |
Last Update Date | 2014-12-29 |