| NPI | 1457082919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA JOSEPH-DI CAPRIO President And Founder 651-242-2849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-27 |