| NPI | 1720846215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH CLAUSEN Director Of Operations, Owner 763-226-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | |
| Enumeration Date | 2024-03-08 |
| Last Update Date | 2025-10-30 |