Organization
AUDACE PSYCHIATRY AND MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHOLEZA CESAR LIGOGO DNP APRN CNP PMHNPBC (OWNER)
(612) 432-4507
Entity
Organization
Contact information
Practice address
2042 WOODDALE DR STE 250-5038, WOODBURY, MN 55125-2981
(612) 432-4507
Mailing address
2042 WOODDALE DR STE 250-5038, WOODBURY, MN 55125-2981
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2024
Last updated
12/19/2024
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