| NPI | 1992472419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ A DOSS Owner 651-280-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 202D00000X Integrative Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2022-10-26 |