NPI | 1659170843 |
---|---|
Doing Business As | METRO BEHAVIORAL CONSULTANTS PLLC |
Entity Type | Organization |
Authorized Contact | RAPHAEL OMOTO Director 612-212-2595 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2025-03-10 |
Last Update Date | 2025-03-10 |