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 |