| NPI | 1871391995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANNE LENZ Pmhnp Bc, Agnp Bc, Pat C 651-321-3864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-04 |
| Last Update Date | 2025-05-14 |