NPI | 1649060237 |
---|---|
Other Name | MARQUITTA CRYSTAL BRAIH SOLE MBR |
Entity Type | Organization |
Authorized Contact | MARQUITTA CRYSTAL BRAIH Owner 952-856-8408 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-05-08 |
Last Update Date | 2025-05-08 |