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1861103376
COMPASSIONATE BEHAVIORAL HEALTH LLC
MAPLE GROVE, MN
NPI
1861103376
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Entity Type
Organization
Authorized Contact
MERCY MIANTONA
Owner/Np
763-445-2799
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-12-06
Last Update Date
2024-01-09
Business Address
COMPASSIONATE BEHAVIORAL HEALTH LLC
11670 FOUNTAINS DR STE 200
MAPLE GROVE, MN 55369-7195
Phone number: 763-445-2799
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Mailing Address
COMPASSIONATE BEHAVIORAL HEALTH LLC
11670 FOUNTAINS DR STE 200
MAPLE GROVE, MN 55369-7195
Phone number:
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