| NPI | 1073246575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA BRAATZ President 651-661-4986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-07-03 |
| Last Update Date | 2023-03-31 |