| NPI | 1073270427 |
|---|---|
| Doing Business As | DOMINION HEALTHCARE SERVICES L |
| Entity Type | Organization |
| Authorized Contact | YARIA BANGURA Manager 612-258-8794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2023-09-01 |