| NPI | 1073472379 |
|---|---|
| Doing Business As | THE BODHI CLINIC |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA JO CARRY Co CEO 218-409-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2026-01-21 |
| Last Update Date | 2026-04-18 |