| NPI | 1497556815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIKA GALEGA-SABUM Owner 763-445-1079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-26 |