NPI | 1255926085 |
---|---|
Former Legal Business Name | BARAKA BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | ANDREW MERANDE CEO 612-987-8717 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2021-03-03 |
Last Update Date | 2021-03-03 |