| 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 |