| NPI | 1780313478 |
|---|---|
| Doing Business As | CENTER FOR CONSCIOUS ALCHEMY |
| Entity Type | Organization |
| Authorized Contact | SUSAN BORDEN Owner 612-424-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2023-08-21 |