NPI | 1942066568 |
---|---|
Doing Business As | 360 HEALTH INC |
Entity Type | Organization |
Authorized Contact | DEREK JAMES DAGENDESH Authorized Offical 651-263-1394 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2024-02-21 |
Last Update Date | 2025-02-20 |