| NPI | 1053066902 |
|---|---|
| Doing Business As | ADVANCED PSYCHOLOGICAL SERVICES, LLC |
| Other Name | TIMOTHY BENESCH |
| Entity Type | Organization |
| Authorized Contact | KESHA FETTIG Clinic Coordinator 507-735-6449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2024-04-08 |