NPI | 1093503823 |
---|---|
Other Name | YOUTH ACT |
Entity Type | Organization |
Authorized Contact | BRANDIE BACHMAN Billing Manager 651-802-9820 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 251B00000X Case Management |
Enumeration Date | 2025-04-30 |
Last Update Date | 2025-04-30 |