| NPI | 1801620075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASRO A AHMED Family/Psychiatry Nurse Practioner 952-393-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |