| NPI | 1073471272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER VAUGHN Managing Member 612-231-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-14 |
| Last Update Date | 2026-04-17 |