| NPI | 1992085674 |
|---|---|
| Doing Business As | ASC PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | GEORGE V KOMARIDIS Clinical Director 507-345-4679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MN LP1673) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |