Organization · Type 2 NPI
Wisdom Psychiatric Care and Medication Management LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Mounds View, MN
NPI number
1255925962
Active
Practice location
2704 Mounds View Blvd, Ste 12
Mounds View, MN 55112
Fax (567) 205-3614
Mailing address
8628 Hastings St NE
Blaine, MN 55449-4252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1255925962
Wisdom Psychiatric Care and Medication Management LLC's National Provider Identifier is 1255925962, issued on Feb 23, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mounds View, MN. The record was last updated on Feb 17, 2022.