| NPI | 1013799980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOVA BRADFORD CEO 651-500-1964 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |