NPI | 1447082391 |
---|---|
Doing Business As | RENEW PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | THOMAS UGELSTAD Nurse Practitioner 701-251-0551 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-08-19 |
Last Update Date | 2024-10-13 |