| NPI | 1942325626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROBERT HOEKSTRA Clinical Psychologist, Owner 952-212-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP4257) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-06-26 |