| NPI | 1548076292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA MARIA RAMIREZ Owner 320-469-7889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-12-07 |
| Last Update Date | 2024-12-07 |