| Organization Name: | NORTH METRO PSYCHIATRY |
| NPI Number: | 1043398316 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNETTE GOULD (OFFICE MANAGER) |
| Mailing Address: | 2475 15th St Nw Suite D New Brighton |
| State: | MN US |
| Postal Code: | 551125605 |
| Phone Number: | 6516360941 |
| Fax Number: | 6516971209 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 2207891 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |