| NPI | 1518781095 |
|---|---|
| Doing Business As | FRONTLINE MENTAL HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SHANTE SOOKHLALL HANSON Owner 612-524-9237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |