| 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 |