| NPI | 1861373243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISNEY MITCHELA ELAINE MURRAY Mental Health Psychiatric Np 612-817-2248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-10 |