| NPI | 1053183178 |
|---|---|
| Other Name | ZACHARY CAMPBELL |
| Entity Type | Organization |
| Authorized Contact | ZACHARY J CAMPBELL Owner 612-250-4016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |