| 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 |