NPI | 1447005202 |
---|---|
Entity Type | Organization |
Authorized Contact | DAMIR STEVAN UTRZAN Chief Compliance Officer 612-900-7021 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-04-23 |
Last Update Date | 2024-07-03 |