| NPI | 1992739247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES HAUGEN HOROWITZ President 763-302-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103T00000X Psychologist | |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2009-12-02 |