| NPI | 1144119108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIJAH YARPAH ZARDYU YARPAH Cnp, Pmhnp Bc 763-269-3872 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-09 |