NPI | 1346282563 |
---|---|
Doing Business As | ALLINA HEALTH MENTAL HEALTH - ABBOTT NORTHWESTERN CLINIC |
Entity Type | Organization |
Authorized Contact | DOMINICA TALLARICO COO 612-222-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 103T00000X Psychologist |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2024-03-21 |