Organization
BALANZEN MENTAL HEALTH CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCESS GEHYIGON-WALLACE (OWNER)
(612) 298-5176
Entity
Organization
Contact information
Practice address
7630 145TH ST W STE 201, APPLE VALLEY, MN 55124-7553
(612) 298-5176
Mailing address
7630 145TH ST W STE 201, APPLE VALLEY, MN 55124-7553
(612) 298-5176
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
08/20/2024
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