| NPI | 1508451790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERGINA BRICKHOUSE ISBELL Chief Medical Officer 507-405-4598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2024-05-20 |