| NPI | 1609360254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BROWN Ap RN/Owner 952-923-7256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207R00000X Internal Medicine | |
| 251S00000X | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2022-04-28 |