| NPI | 1255023982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN GIBSON Ap RN, Psychiatric Cns 612-242-9532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |