| Audace Psychiatry And Mental Health | |
|
2042 Wooddale Dr Ste 250-5038 Woodbury MN 55125-2981 | |
| (612) 432-4507 | |
| Not Available |
| Full Name | Audace Psychiatry And Mental Health |
|---|---|
| Speciality | Clinic/center |
| Location | 2042 Wooddale Dr Ste 250-5038, Woodbury, Minnesota |
| Authorized Official Name and Position | Muholeza Cesar Ligogo (OWNER) |
| Authorized Official Contact | 6124324507 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Audace Psychiatry And Mental Health 2042 Wooddale Dr Ste 250-5038 Woodbury MN 55125-2981 Ph: () - | Audace Psychiatry And Mental Health 2042 Wooddale Dr Ste 250-5038 Woodbury MN 55125-2981 Ph: (612) 432-4507 |
| NPI Number | 1235945585 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 12/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235945585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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