| NPI | 1538312939 |
|---|---|
| Doing Business As | BUSH EVENING TREATMENT |
| Entity Type | Organization |
| Authorized Contact | MORRIS GOODWIN Chief Administrative Director 651-280-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |