NPI | 1861198723 |
---|---|
Doing Business As | EQUILIBRIUM |
Entity Type | Organization |
Authorized Contact | THERESE M HOUNDT-DALBERG CEO/Pmhnp 612-289-2365 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-02-02 |
Last Update Date | 2023-02-02 |