| NPI | 1548915465 |
|---|---|
| Doing Business As | GRACE & WILL PSYCHIATRIC MHS |
| Entity Type | Organization |
| Authorized Contact | MONSURAT OLUWA-OKOUGBO Pmhnp Bc 612-643-3149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2022-08-11 |