| NPI | 1467761742 |
|---|---|
| Doing Business As | NYSTROM & ASSOCIATES, LTD. ADULT DAY TREATMENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | BRIAN NYSTROM President/CEO 651-379-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |