| NPI | 1366034472 |
|---|---|
| Doing Business As | EVOLUTION MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | BETHANN M FRAZIER Owner 651-233-6541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-11-07 |