Organization
NORTHERN TRANQUILITY MENTAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SUE BRUSACORAM APRN-CNP (OWNER, CEO, APRN-CNP, PMHNP-BC)
(218) 254-0101
Entity
Organization
Contact information
Practice address
12 W LAKE ST, CHISHOLM, MN 55719-1817
(218) 296-0688
(844) 921-1071
Mailing address
12 W LAKE ST, CHISHOLM, MN 55719-1817
(218) 254-0101
(844) 921-1071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
08/06/2024
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