NPI | 1982237269 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES SCHUTT Co Owner 612-219-7120 |
Organization Subpart ? | No |
Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103TC0700X Psychologist, Clinical | |
Enumeration Date | 2020-02-14 |
Last Update Date | 2020-02-14 |