NPI | 1235488438 |
---|---|
Doing Business As | ESSENTIA HEALTH DULUTH-AMBERWING CLINIC |
Entity Type | Organization |
Authorized Contact | KEVIN BOREN CFO 218-786-1009 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2012-09-04 |
Last Update Date | 2024-02-27 |