| NPI | 1811741465 |
|---|---|
| Doing Business As | THE CENTER FOR PROVIDER WELL-BEING |
| Entity Type | Organization |
| Authorized Contact | DOMINICA TALLARICO COO 612-222-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-30 |