| NPI | 1043931264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLYNN MCNEIL LACHAPELLE CEO 763-220-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |