| NPI | 1407438898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE ELIZA CURTIS UTLEY Owner 612-735-0997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-04-25 |
| Last Update Date | 2026-07-18 |