| 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 |